Formanek Dds Llc

LBN: Formanek Dds Llc
Formanek Dds Llc is an health care organization with primary practice located at 2226 Missouri Blvd , Jefferson City MO 65109-4727. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Formanek Dds Llc can be contacted via phone (573) 658-4022, or through Formanek, Joseph via phone (573) 658-4022.

Contact Information

Primary practice address
2226 Missouri Blvd Jefferson City MO 65109-4727
Phone: (573) 658-4022
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Formanek, Joseph
Phone: (573) 658-4022

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1508355900
LBN Legal business name Formanek Dds Llc
DBA Doing business as
Authorized official Formanek, Joseph
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2018
Last updated Jun 13th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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